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diagnosis differential nephrology acute kidney management treatment urine urology algorithm hyperkalemia hypertension indications k postrenal potassium prerenal pulmonary secondary syndromes
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... proteinuria, RBC casts ... for renal biopsy ... by UW IM Residency ... #urology #blood
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
urine • 1ml blood ... Immune mediated injury ... RBC casts → Diagnostic ... #urology #nephrology ... blood
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
INTRINSIC: - Glomerular ... cell casts on UA ... tubular cell casts ... or pigmented casts ... #AKI #Differential
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Kidney Injury ( ... AKI ) - Prerenal ... PRE-RENAL ... • Sepsis • Blood
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
failure (glomerulonephritis ... : (AKI, proteinuria ... injury), Coags ... Goodpasture's cause ... , RBC casts, low
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... papilledema, heart failure ... , neurologic disturbance ... or acute kidney injury ... Neurologic disorders
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... Failure, esp w ... , RTA Type IV, AI ... reabsorption) Workup ... only if no clear cause
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